Individual
MS. AMY L LECUONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
525 N DACIE PT, LECANTO, FL 34461-8399
(813) 321-1786
(813) 321-1787
Mailing address
4651 VAN DYKE RD, LUTZ, FL 33558-4880
(813) 321-1786
(813) 321-1787
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9346384
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106457400
—
FL
Enumeration date
03/22/2018
Last updated
11/12/2022
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